<div id="mc">
<p class="title1">Membership Purchase</p>
{if $overdue == "Expired" || $overdue == "Trial"}
<p><form action="https://orderpagetest.ic3.com/hop/orderform.jsp"   method="post">
			<font size="2" face="Arial, Helvetica, sans-serif">{$overduemessage}<br />{$title}</font>
			{$cbk}
			<input type="hidden" name="billTo_firstName" value="{$firstname}" />
			<input type="hidden" name="billTo_lastName" value="{$lastname}"/>
			<input type="hidden" name="billTo_street1" value="{$location}"/>
			<input type="hidden" name="billTo_city" value="{$city}"/>
			<input type="hidden" name="billTo_postalCode" value="{$zip}"/>
			<input type="hidden" name="billTo_state" value="{$state}"/>
			<input type="hidden" name="billTo_country" value="{$country}"/>
			<input type="hidden" name="billTo_postalCode" value="{$postal}"/>
			<input type="hidden" name="billTo_phoneNumber" value="{$phone}"/>
			<input type="hidden" name="billTo_email" value="{$email}"/>
			<input type="hidden" name="comments" value="{$comments}"/>
			<input type="hidden" name="my_custom_field" value="{$myfield}"/>
			{$subscription}
			<br /><br />
			<input type="submit" name="submit" value="Buy Now" />
	  </form>
</p>
{else}
<p>
Your account status is currently active. You do not need to purchase a membership. <input type="button" value="Back" onclick="history.go(-1)">
</p>
{/if}
</div>